Krembil Centre for Neuroinformatics, Centre for Addiction and Mental Health (CAMH), 250 College Street, Toronto, ON, M5T 1R8, Canada.
Arthur Labatt Family School of Nursing, 1151 Richmond Street, London, ON, Canada.
BMC Womens Health. 2024 Aug 8;24(1):449. doi: 10.1186/s12905-024-03292-9.
The integration of patient portals into health systems has the potential to increase access for women. For example, within a mental health context, women are at a higher risk of developing anxiety and depression but may experience barriers in accessing care. Therefore, the aim of this rapid review was to understand what is currently known about patient portal use among women. The objectives were (1) To discover pertinent facilitators for women when using patient portals; (2) To discern if women face individual barriers to accessing patient portals; and (3) To explore the potential role of patient portals for women's mental health care.
A rapid review methodology was implemented using the Cochrane Rapid Reviews Methods Group, as well as a grey literature scan. Inclusion criteria included articles that focused on women's use of patient portals within healthcare settings. Four databases were searched, including Embase, MEDLINE (Ovid), CINAHL and PsycINFO in September 2023. Two independent reviewers performed screening, data extraction, and analysis.
This search resulted in screening 1385 titles and abstracts, and 82 articles for full-text eligibility. 15 articles were included in the review. Data were extracted and analyzed, guided by the research objectives. Facilitators to patient portal use included processes that enhanced user engagement, the provision of portal tools, and management of health care features. Barriers included health equity factors and use of medical jargon. Applications to mental health care included how use of portals eased women's anxiety and increased their sense of internal control.
The results of this review indicate that interrelated factors influence women's experiences with using patient portals. By understanding facilitators and barriers to portal use, and applications for mental health care, we can understand how to improve women's use of portals in the future.
将患者门户整合到医疗系统中有可能增加女性的获取途径。例如，在心理健康背景下，女性患焦虑症和抑郁症的风险更高，但可能在获得护理方面存在障碍。因此，本次快速审查的目的是了解目前关于女性使用患者门户的情况。目标是：（1）发现女性使用患者门户时的相关促进因素；（2）确定女性在获取患者门户方面是否面临个体障碍；（3）探讨患者门户在女性心理健康护理中的潜在作用。
采用 Cochrane 快速评论方法组以及灰色文献扫描实施快速审查方法。纳入标准包括关注女性在医疗保健环境中使用患者门户的文章。2023 年 9 月，在四个数据库中进行了搜索，包括 Embase、MEDLINE（Ovid）、CINAHL 和 PsycINFO。两名独立评审员进行了筛选、数据提取和分析。
本次搜索共筛选出 1385 篇标题和摘要，以及 82 篇全文符合资格的文章。15 篇文章被纳入综述。根据研究目标，对数据进行了提取和分析。患者门户使用的促进因素包括增强用户参与度的流程、门户工具的提供以及医疗保健功能的管理。障碍包括健康公平因素和使用医学术语。在心理健康护理中的应用包括使用门户如何减轻女性的焦虑感并增强她们的内部控制感。
本次审查的结果表明，相互关联的因素影响着女性使用患者门户的体验。通过了解门户使用的促进因素和障碍，以及在心理健康护理中的应用，我们可以了解如何在未来提高女性对门户的使用。
